Diabetes mellitus (DM) in children is on the rise worldwide and it’s well established the relationship between it and obesity. The understanding of this risk factor for DM is critical to preventing the disease. The objective is to analyze epidemiological trends of weight in children, adding data from 2019. Temporal cross-sectional analysis of the years 2001, 2011 and 2019 was randomly done with children aged 5 to 9 years and proportionally selected from public and private schools in Feira de Santana, Bahia, Brazil. Overweight and obesity were defined using body mass index (BMI) ≥ the 85th and the 95th percentiles for age and gender, respectively. A total of 1.994 children were studied, being 699 (15.6±2.5 BMI; 366 [52%] girls; 7.1±1.3y), 714 (16.6±3.0 BMI; 348 [48.9%] girls; 7.6±1.4y), 581 (17.0±3.7 BMI; 303 [53.2%] girls; 6.9±2.2y) in 2001, 2011 and 2019 respectively. The excessive weight prevalence increased significantly from 2001, 2011 to 2019 (overweight [9.2%, 15.5% and 16.9%] and obesity [4.4%, 7.2%; 11.7%]) and normal weight decreased (86.4%, 68.6%, 61.9%) with p value <0.005 for all analyzes. Classifying by type of school, private (group 1) and public (group 2), in both groups comparing 2001, 2011 and 2019, the rate of normal weight decreased (84.2%, 68.6%, 59.4% for group 1 and 88.0%, 81.7% and 67.6% for group 2), also with significance. The prevalence of overweight significantly increased between 2001 and 2011 for both private (9.9%, 19.9%) and public (8.7%, 13.3%) sectors, but maintained itself stable for both between 2011 and 2019 (group 1[19.9%, 18.6%], group 2 [13.3%, 12.8%]). As for obesity, it did significantly increase in both groups through the entire period, at a rate of 6.0%, 11.5% and 13.2% in group 1 and 3.4%, 5.0% and 8.4% in group 2, respectively for 2001, 2011 and 2019. This trend towards increased prevalence of obesity in children from both the private and public sectors confirms the urgency in taking preventive measures to control not only obesity but its comorbidities such as DM. Disclosure A. Oliveira: None. F. Freitas: None. M. Clementino: None. L.G. Melo: None. D.C. Silva: None. P. Garcia: None. M. Correia: None. M. Mendes: None. M. Santos: None. A.A. Oliveira: None. T. Dechichi: None. A. Oliveira: None. A. Oliveira: None.
BACKGROUND Rheumatoid arthritis (RA) is a chronic inflammatory disease that can affect several joints. The cause is unknown and affects women twice as often as men. It usually starts between 30 and 40 years and its incidence increases with age. The most common symptoms are pain, swelling, heat and redness in any joint of the body especially hands and wrists. The inflamed joints provoke morning stiffness, fatigue and with the progression of the disease, there is destruction of the articular cartilage and the patients can develop deformities, being more common in peripheral joints like the swan neck fingers, button fingers, ulnar deviation and hallux valgus. The objective of this study was to analyze the epidemiological profile of patients with rheumatoid arthritis in an outpatient clinic in Feira de Santana-BA. MATERIALS AND METHODS This is an epidemiological, descriptive, quantitative and retrospective study carried out in an outpatient clinic in the interior of Bahia. The sample consisted of the analysis of 366 medical records from February 2008 to May 2019, being excluded from the study the patients who were discharged from the clinic or who did not have a diagnosis of rheumatic disease. In this study, a form was used to collect the data of patients with rheumatoid arthritis in which the following variables were analyzed: sex, age, ethnicity, life habits and therapeutic drugs. Then the collected data were inserted into an electronic database and analyzed using the statistical program Epidata Analysis V2.2.3.187. RESULTS Of the 366 records analyzed, 37.4% (137) of the patients with the diagnosis of rheumatoid arthritis were found, 84.7% (116) of the female sex, 13.1% (18) 2% (3) had no identified sex. The age ranged from 13 to 81 years, with a mean age of 52 years. As for ethnicity, 38.7% (53) mulattoes, 26.3% (36) blacks, 19.7% (27) whites and 15.3% (21) did not have ethnicity identified. In relation to life habits, 19.7% (27) stated that they were smokers, 16.8% (23) were alcoholics and 15.3% (21) practiced physical activity. As for therapy, 70% (96) of the patients used synthetic DMARD, 10.2% (13) used biological DMARD and 27% used Hydroxychloroquine. CONCLUSION Rheumatoid arthritis is a disease that can cause motor limitations in affected patients, therefore, it is necessary that the diagnosis be made quickly so that the treatment is more effective and the patient develops the minimum of complications.
Hipertensão arterial (HA) é uma condição clínica multifatorial caracterizada por elevação sustentada dos níveis pressóricos. Existiam diversas definições para HA assim como inúmeras metodologias para aferição da pressão arterial (PA) o que dificultava seu entendimento. Em 2004 o “National High Blood Pressure Education Program” (NHBPEP) sugeriu critérios para definição e promoveu uniformidade na classificação da PA na população pediátrica (DIRETRIZES SBC, 2016).
Nas últimas décadas, países em desenvolvimento como o Brasil, vêm passando por importantes mudanças sociais, econômicas e demográficas que se refletem no perfil nutricional de sua população. E, este conjunto de transformações que impactam diretamente no hábito alimentar do indivíduo, com o aumento do consumo de açucares, gorduras e redução da ingesta de fibras entre outros recebe o nome de “transição nutricional”. Este fenômeno, é fator de risco importante para o desenvolvimento de doenças como obesidade, doenças metabólicas e cardiovasculares (COUTINHO, 2008)
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